Takesono Yu, Jennifer Mayumi

Takesono Yu, Jennifer Mayumi is an individual health care provider with primary practice located at 1 Parker Ave , San Francisco CA 94118-2614. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Takesono Yu, Jennifer Mayumi can be contacted via phone (415) 668-3500.

Contact Information

Primary practice address
1 Parker Ave San Francisco CA 94118-2614
Phone: (415) 668-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 9145 Colorado
Dental Providers / Pediatric Dentistry 1223P0221X 2034 Hawaii
Dental Providers / Pediatric Dentistry 1223P0221X 051702-01 New York
Dental Providers / Pediatric Dentistry 1223P0221X 57786 California

Profile Details

NPI number 1770622821
LBN Legal business name Takesono Yu, Jennifer Mayumi
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Oct 13th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770622821 NPPES
Colorado MEDICAID 04474562

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